City of Fort Dodge

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1234567 Issued in IA

Legal business name

CITY OF FORT DODGE

Doing business as

Fort Doge Fire Department

Practice address

1515 Central Ave
Fort Dodge, IA 50501-4247

Phone

(515) 576-1031

Fax

(515) 955-2396

NPI assigned

Sep 26, 2011

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Luers

Title

Fire Chief

Phone

(515) 576-1031

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FORT DOGE FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1932482973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014739",
            "telephone_number": "515-573-7156",
            "fax_number": "515-573-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CENTRAL AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014247",
            "telephone_number": "515-576-1031",
            "fax_number": "515-955-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FORT DODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "LUERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "515-576-1031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "1234567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK, BCBS OF IOWA",
            "identifier": "1932482973",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932482973",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT DOGE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities
• Centers for Allergy, Asthma and Immune Disorders PC
• Lisa Kay Chase, ARNP
• Judith Carol Christensen, LISW
• John Michael Sycip Chua Chiaco, M.D.
• Suzanne M Clapp, CRNA
• Carmen Clavin, CADC
• James Clavin, CADC
• John Clay, D.D.S.
• Robert Bruce Cochrane, DDS

• Land Ambulance in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.